Professional Qualifications

( Please state Degrees / Diplomas, Year of Graduation / name and country of Institutions. Photocopies of documents to be submitted with the application of membership by fax or scan and send through the browse documents as required below. )

Complementary Modalities approved by The Ministry of Health, T&CM Division

Please tick modalities practised by you / in your Clinic, Company or Centre.

Postgraduate Level

Degree / Diploma Level

Diploma / Certificate

Nutritional Medicine

Hypnotherapy

Psychotherapy

Chiropractic

Osteopathy

Herbal Medicine

Natural Medicine

Music Therapy

Reflexology

Aromatherapy

Reiki

Crystal Healing

Blind Massage Therapy

Soft Tissue Manipulative Therapy

Your other Specialty Procedures / Therapies

A.
B.
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D.

Public Information

( Please tick accordingly )
I hereby authorize do not authorize AIMM to disclose any personal / company information or any particulars, professional qualifications, place of practice( excluding payment information, home address, I.C. No., ... or )

that is mentioned in this Application Form for listing / disclosure in AIMM Publications, Website, Facebook or other public electronic / internet media.